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HomeMy WebLinkAboutHIVE CONSTRUCTION INC - INSURANCE CERTIFICATE (3)® DATE (MMIDD/YYYY) AC� AC� CERTIFICATE OF LIABILITY INSURANCE 1/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Brandie Zuckerman CRIS NAME: Moody Insurance Agency, Inc. PPHONE (303)824-6600 No: (303)370-0118 8055 East Tufts Avenue E-MAIL ADDRESS: brandie.zuckerman@moody ins.com Suite 1000 INSURE S AFFORDING COVERAGE NAIC0 Denver CO 80237 INSURERA:Travelers Indemnity Company 25658 INSURED INSURER B :Travelers Indentnity of America 25666 HIVE Construction, Inc. INSURERC: 4701 Marion St INSURERD: Ste 201 INSURER E : Denver CO 80216 INSURER F : COVERAGES CERTIFICATE NUMBER:17-18 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE J= SUER POLICY NUMBER MMLIDY MMIDDPOLICY EXP LIMITS LTR WVD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR ENTED PREMISES Ea occurrence $ 300,000 MED EXP Any one person) $ Excluded DTC06G98061617COF 2/1/2017 2/1/2018 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Fx_1 JPERO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS BA6G98230817CNS 2/1/2017 2/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ NON -OWNED X HIRED AUTOS AUTOS X UMBRELLALIA6 X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5 ,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 DTSMCUP6G980617TIL 2/1/2017 2/1/2016 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE —] PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 A MFandatoMEMBER m NH)EXCLUDED? ( ry NIA DTJUB7G97096A17 2/1/2017 2/1/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Leased/Rented DTC06G96061617COF 2/1/2017 2/1/2018 (Limit 50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) rrPTIr:lrATF wni r1FR r'ANrFI I ATIr1N1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Collins THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. BOX 580 ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins, CO 80526 AUTHORIZED REPRESENTATIVE B Zuckerman, CRIS/BRAS 91988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)